Gage, Brooke Elizabeth

Gage, Brooke Elizabeth is an individual health care provider with primary practice located at 8937 S Garnett Rd , Broken Arrow OK 74012-6004. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gage, Brooke Elizabeth can be contacted via phone (918) 872-9777.

Contact Information

Primary practice address
8937 S Garnett Rd Broken Arrow OK 74012-6004
Fax: (918) 872-9779
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1486 Oklahoma

Profile Details

NPI number 1972801215
LBN Legal business name Gage, Brooke Elizabeth
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2011
Last updated Aug 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972801215 NPPES
Oklahoma Other 1486 LICENSE #1486

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